go back

Minnesota rates for HCPCS A9568

Technetium tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.00 / $1,079.00 / $1,300.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $2,763.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.10 / $939.16 / $1,093.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.90 / $1,066.90 / $1,882.56
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.50 / $853.79 / $1,241.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.51 / $1,757.60 / $2,379.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $2,436.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,235.00 / $2,223.00